Individual provider · Type 1 NPI

Sao Slober Johnson

Registered Nurse · Brooklyn Park, MN

NPI number 1619828951 Active

Practice location

8967 Montegue Ter
Brooklyn Park, MN 55443-3706

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X2485512 (MN)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1619828951

Sao Slober Johnson's National Provider Identifier is 1619828951, issued on Feb 4, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Brooklyn Park, MN. The record was last updated on Feb 4, 2026.